EP1273271B1 - Instrument chirurgical - Google Patents

Instrument chirurgical Download PDF

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Publication number
EP1273271B1
EP1273271B1 EP02013878A EP02013878A EP1273271B1 EP 1273271 B1 EP1273271 B1 EP 1273271B1 EP 02013878 A EP02013878 A EP 02013878A EP 02013878 A EP02013878 A EP 02013878A EP 1273271 B1 EP1273271 B1 EP 1273271B1
Authority
EP
European Patent Office
Prior art keywords
bone plate
surgical instrument
instrument
accordance
bone
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP02013878A
Other languages
German (de)
English (en)
Other versions
EP1273271A3 (fr
EP1273271A2 (fr
Inventor
Viktor Hilgendorff
Roland Böttiger
Thomas Saueressig
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Aesculap AG
Original Assignee
Aesculap AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Aesculap AG filed Critical Aesculap AG
Publication of EP1273271A2 publication Critical patent/EP1273271A2/fr
Publication of EP1273271A3 publication Critical patent/EP1273271A3/fr
Application granted granted Critical
Publication of EP1273271B1 publication Critical patent/EP1273271B1/fr
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1721—Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • A61B17/746—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to a plate opposite the femoral head

Definitions

  • the invention relates to a surgical instrument for inserting and holding a bone plate connecting at least two bone parts, the shape of which defines an insertion direction in which the bone plate is guided to the bone parts to be connected, with a holding portion, with at least one coupling element arranged thereon for releasably connecting the same with at least one provided on the bone plate connecting member, wherein the coupling element is arranged such that in an insertion position in which the instrument is connected to the bone plate, the instrument extends the bone plate substantially opposite to the insertion direction.
  • Instruments of the type described above are used for introducing bone plates, which serve for example for splinting of pertrochanteric femoral fractures or condylar femur and tibia fractures.
  • the bone plates are usually pushed through the small incision under the skin and through the muscle. The plate splits the muscle tissue.
  • a generic instrument is for example from the EP 0 617 927 B1 known. It is essentially transversely to the longitudinal direction of the bone plate, which dictates the insertion, screwed to this. This must be the case, in particular, backlash-free and in register be when the instrument also serves as a target device for inserting bone screws or wires.
  • This embodiment has the advantage that an incision is sufficient, through which the bone plate can be inserted, because the instrument does not stand laterally from the bone plate, which is a larger due to the cross section of the instrument and its arrangement Incision would be required.
  • the introduction of the bone plate is facilitated because a surgeon can close from the orientation of the instrument essentially directly to the orientation of the bone plate, since both parts point in approximately the same direction.
  • Substantially opposite to the insertion direction means that the instrument and the insertion include an angle of 30 ° maximum.
  • the instrument can be used solely for inserting and holding the bone plate, but it is advantageous if the instrument comprises a target device section with at least one target device aperture having a longitudinal axis and if the at least one target device aperture is assigned at least one aperture provided with the same longitudinal axis on the bone plate.
  • the instrument can serve as a target device for fixing the bone plate to the bone parts.
  • the longitudinal axis of the at least one target device opening gives the surgeon the direction for a hole to be set at the bone parts, whose longitudinal axis coincides with that of the at least one opening on the bone plate. Thus, bad holes are avoided.
  • a tensioning member for bracing the bone plate with the instrument in the insertion position is advantageously provided. This can be made in the insertion position a backlash-free connection of the two parts.
  • a centering element cooperating with a centering element arranged on the bone plate can preferably be provided for fixing a defined relative coupling position between the device and the bone plate in the insertion position.
  • the centering element clearly defines the relative position between the bone plate and the instrument, which, in particular when using the instrument as a target device, helps to avoid deviations in the holes to be set.
  • the centering a festleg- in the longitudinal direction of the holding portion and on the bone plate movable pressure pin comprises and when the centering member has a centering element for substantially corresponding free end.
  • the pressure pin which can be clamped or screwed relative to the instrument, for example, the bone plate and the instrument in the insertion firmly pressed against each other and by the centering corresponding centering member, the position of the instrument relative to the bone plate at least in a plane transverse to the insertion exactly specified
  • the centering can
  • a conical tip and the centering element may comprise a conical, corresponding recess. A reverse arrangement of the tip and recess on the two parts would also be possible.
  • the tendon comprises the centering element. This reduces the number of moving parts on the instrument.
  • the tendon thus has a dual function. At the same time as the clamping of the bone plate with the instrument, its relative position can be clearly defined.
  • the at least one coupling element can be frictionally connected to the at least one connecting element.
  • the at least one coupling element with the at least one connecting element is positively connected.
  • a connection of the two parts can be made with each other, which can be secured separately by another connecting element.
  • the at least one projection by a transverse to the insertion locking edge and when the recess are formed by a groove.
  • the latching edge into the groove creates a latching connection between the bone plate and the instrument, by which a holding force can be transmitted from the instrument to the bone plate without further connecting means.
  • the at least one projection by a transverse to the insertion direction pin and that the recess is formed by an opening of the bone plate can be provided. Based on these Design, the bone plate can be pushed only in the longitudinal direction of the pen on the instrument. However, their relative position to the instrument in the insertion direction can be clearly specified.
  • the holding section adjoining the bone plate in the insertion position has, in a transition region, a cross section which is at most as large as the largest cross section of the bone plate. This additionally ensures that the incision required to insert the bone plate is sufficient to insert the instrument into the human body. In addition, so additional projections, edges or the like can be avoided in the transition region between the bone plate and the insertion, which complicate the insertion of the bone plate when penetrating the body tissue.
  • the holding section could basically be made in one piece. However, it is advantageous if the holding portion comprises two holding arms which extend in the longitudinal direction of the holding portion and when the holding arms have free ends. This allows a connection between bone plate and instrument such that in addition to a transmitted in the insertion force from the instrument to the bone plate forces can be transmitted transversely to the insertion of the instrument on the bone plate, whereby the bone plate is held even more secure on the instrument.
  • the at least one coupling element is arranged at one or both free ends of the retaining arms.
  • two coupling elements and thus also two connections between the bone plate and the instrument are made.
  • the retaining arms can be designed rigid. It is favorable, however, if the retaining arms are bent elastically transversely to their longitudinal axis. By bending the support arms transversely to their longitudinal direction, they can be biased, whereby in a simple manner, a force can be exerted in the opposite direction, which serves to hold the bone plate on the insertion.
  • the aiming device section could be placed directly on the holding section.
  • at least one spacer element is provided and the spacer element connecting the target device portion and the holding portion arranged. This makes it possible to customize the instrument individually to patients with different body volumes. As a result, the target device section can always be arranged at the smallest distance from the bone plate, but if necessary at a greater distance.
  • FIGS. 1 and 2 show a first exemplary embodiment, provided with the reference numeral 10, of a surgical instrument designed as a target device according to the invention. It comprises a retaining plate 14 which holds a bone plate 12 and defines a longitudinal direction, which is connected to a targeting device section 18 in an exact fit and without play via a spacer element 16.
  • the shape of the bone plate 12 conforms to the shape of a femur 20 in the transition region between a femoral stem 22 and a greater trochanter 24 to hold the fractured femur 20 together along the fracture surfaces 26.
  • a contact surface 28 of the bone plate 12 is curved substantially convex, and therefore nestles against the femur bone 20 at.
  • the bone plate 12 is fixed with four bone screws 30, 31, 32 and 33, through which provided, adapted to the diameter of the shafts of the bone screws 30 to 33 transverse bores 34, 35, 36 and 37 of the bone plate 12 inserted and so far into the femoral shaft 22 and trochanter major 24 are screwed to screw heads 38, 39, 40 and 41 of the bone screws 30 to 33 at the abutment surface 28 substantially opposite abutment surface 42 in the bone plate 12 strike.
  • the bone plate 12 has a substantially wedge-shaped and pointed insertion end 44 and a coupling end 46, on which a trapezoidal coupling pin 48 is arranged in a side view, in such a way that when passing into a central region 50 of the bone plate 12 two parallel wedge-shaped groove 51st and 52 are formed, are formed by the two substantially transverse to a longitudinal direction of the bone plate 12 extending shoulder surfaces 53 and 54.
  • the holding portion 14 For connection to the bone plate 12, the holding portion 14 at its distal end to a coupling pin 48 corresponding plate receptacle 56 into which the coupling pin 48 can be inserted parallel to the predetermined by the grooves 51 and 52 direction.
  • the plate holder 56 In the region of its open end, the plate holder 56 has two latching edges 58 and 59, which engage in the grooves 51 and 52 and rest against the shoulder surfaces 53 and 54. Thereby, a relative movement between the bone plate 12 and the holding portion 14 in the longitudinal direction of the holding portion is prevented.
  • the cross-section of the holding portion 14 in the region of the plate receiver 56 corresponds approximately to the cross-section of the bone plate 12 in the middle region 50 adjacent to the grooves 51 and 52.
  • the holding portion 14 and the bone plate 12 therefore form a unit in the connected state, and no edges in the transition region , Protrusions or the like.
  • this has a longitudinal bore 60, which is provided at its proximal end with an internal thread 62.
  • the longitudinal bore 60 is penetrated by a conical tip 66 having a pressure pin 64 which has at its proximal end with a hexagon socket 70 provided screw head 68 which protrudes from the longitudinal bore 60 and to which a provided with an external thread 72 short portion of the pressure pin 64 connects.
  • blind hole-like centering hole 74 is arranged, in which the tip 66 of the pressure pin 64 can dip when the bone plate 12 is connected to the holding portion 14.
  • the substantially cuboid proximal end 76 of the holding portion 14 is surrounded by two legs 78 and 79 of a U-shaped holding section receptacle 80 of the spacer element 16 in register.
  • the legs 78 and 79 are bolted to the holding portion 14 without play.
  • the overall substantially L-shaped distancing element 16 comprises a retaining leg 84 comprising an elongate rectangular target device abutment surface 86 which abuts the entire surface of a mounting portion 88 of the Zielêtabitess 18, as well as a End face 90 of the retaining leg at a recess 92 of the target device section, which is formed in the transition region between the mounting portion 88 and a target portion 94 of the target device portion 18.
  • the fastening section 88 has three retaining bores 96, 97 and 98 whose longitudinal axes run parallel and point in the direction of the retaining limb 84. This in turn is provided with a transverse bore 100, one with an internal threaded retaining hole 102 and a blind hole 104, the longitudinal axes of the retaining leg 84 on the mounting portion 88 are aligned with a respective longitudinal axis of the retaining holes 96 to 98.
  • cylindrical pins 106 and 107 are inserted and fixedly connected to the mounting portion 88. They serve as an anti-rotation between the spacer element 16 and the target device section 18.
  • a clamping screw 108 is provided, the shaft 110 is provided at its distal end with an external threaded portion 112 which corresponds to the internal thread of the retaining bore 102.
  • a head 114 is provided in the clamping screw 108 designed as a hexagon socket tool holder 116.
  • the pins 106 and 107 are inserted into the corresponding transverse bore 100 and the blind hole 104 and by means of the clamping screw 108, the spacer element 16 and the target device section 18 are bolted together until they fit into register and play with each other.
  • the target device section 18 is angled away at its end facing away from the attachment section 88 by approximately 120 °. Through this run two parallel center holes 120 and 121 which define longitudinal axes 122 and 123, which correspond to the longitudinal axes of the transverse bores 36 and 37 of the bone plate 12 when this is attached without play on the target device 10. Through the centering holes 120 and 121 holes in the trochanter major 24 of the femur 20 can be set to facilitate insertion of the bone screws 32 and 33rd
  • the target device section 18 has two further center bores 124 and 125 defining longitudinal axes 126 and 127 intersecting the longitudinal axes 122 and 123 of the center bores 120 and 121 at an angle of about 50 °.
  • the longitudinal axes 126 and 127 coincide with the longitudinal axes of the transverse bores 34 and 35 of the bone plate 12 when it is connected to the target device 10 without play.
  • the centering bores 124 and 125 can be set to facilitate insertion of the bone screws 30 and 31 in the femoral shaft 22 holes.
  • the holding portion 14 extends the bone plate 12 substantially in a longitudinal direction thereof, enclosing an angle between the two parts of a maximum of 30 °. For a completely flat bone plate 12, the angle could also be 0 °.
  • An operator opens up access to the human body in one Size sufficient to insert the bone plate 12. Since the holding portion 14 does not have a larger cross section than the bone plate 12, the small cut is sufficient.
  • the specially shaped bone plate 12 displaced with its insertion tip 44 main and body tissue, in particular muscles, and can be very easily brought to the femur bone 20 in a desired position.
  • small cuts are made in the direction of the longitudinal axes 122, 123, 125 and 127 in order first to provide a bore access, through which the bone screws 30 to 33 can be inserted and the bone plate 12 can be screwed to the femur bone 20.
  • FIG. 3 A second embodiment of a target device is shown in FIG. 3 and provided with the reference numeral 150 as a whole. It essentially corresponds to the target device 10, except for a difference in the region of the holding section 14. The same parts are therefore provided with the same reference numerals.
  • the holding portion 14 has a longitudinal slot 152, which extends approximately over two-thirds of the length of the holding portion 14, starting from the disc holder 56 in the direction of the proximal end 76 of the holding portion 14 toward.
  • two retaining arms 154 and 155 are formed, which each carry one of the two latching edges 58 and 59 at their free ends.
  • the provision of the longitudinal slot 152 results in a certain flexural elasticity, which makes it possible to slide the holding portion 14 in the longitudinal direction over the coupling pin 48 of the bone plate 12.
  • the bone plate is additionally braced transversely to the longitudinal direction of the holding portion 14 with this.
  • a third embodiment of a target device is provided in the figures 4 and 5 in total with the reference numeral 180. It essentially corresponds to the target device 10, the same parts are therefore provided with the same reference numerals.
  • the holding portion 14 of the target device 180 has no disc holder, but a protruding in the longitudinal direction of the holding portion, flat, cuboid plate holder 182, projecting from the two retaining pins 184 and 185 transversely to the longitudinal direction of the holding portion 14.
  • the thickness of the plate holder 182 is about one-third of the thickness of the holding portion, the length of the retaining pins 184 and 185, respectively, about two-thirds of the thickness of the holding portion 14, so that the retaining pins 184 and 185 do not project laterally beyond the holding portion 14.
  • the retaining pins 184 and 185 are used to enforce corresponding retaining holes 186 of a flat, essentially a key profile having condylar plate 188.
  • the condylar plate 188 can be pushed in the direction of the longitudinal axes of the retaining pins 184 and 185 on this and clamped with a pressure pin 64 as in connection with the target devices 10 shown in Figures 1 and 2.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Agricultural Chemicals And Associated Chemicals (AREA)

Claims (15)

  1. Instrument chirurgical pour mettre en place et retenir une plaque osseuse (12) reliant au moins deux parties d'os, dont la forme définit une direction d'introduction dans laquelle la plaque osseuse (12) est amenée aux parties d'os à relier, comportant un tronçon de retenue (14), au moins un élément d'accouplement (56; 184, 185) agencé sur celui-ci pour relier ce dernier de manière détachable avec au moins un élément de liaison (48; 186) prévu sur la plaque osseuse (12), l'élément d'accouplement (56; 184, 185) étant agencé de telle sorte que dans une position d'introduction, dans laquelle l'instrument (10 ; 150 ; 180) est relié à la plaque osseuse (12), l'instrument (10; 150; 180) prolonge la plaque osseuse (12) sensiblement à l'opposé de la direction d'introduction, caractérisé en ce que sur ledit au moins un élément d'accouplement (56) est prévue au moins une saillie (58, 59, 184, 185) plongeant, dans la position d'introduction, dans un évidement (51, 52; 186) correspondant ménagé sur la plaque osseuse (12).
  2. Instrument chirurgical selon la revendication 1, caractérisé en ce que l'instrument (10; 50; 180) comprend un tronçon de viseur (18) avec au moins une percée de viseur (120, 121, 124, 125) présentant un axe longitudinal (122, 123, 126, 127), et en ce qu'à ladite au moins une percée de viseur (120, 121, 124, 125) est associée une percée (34, 35, 36, 37) prévue sur la plaque osseuse (12) avec un axe longitudinal (10; 150; 180) identique.
  3. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce qu'il est prévu un organe de serrage (64) pour serrer la plaque osseuse (12) avec l'instrument (10; 150; 180) dans la position d'introduction.
  4. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce qu'il est prévu un organe de centrage (64, 66) coopérant avec un élément de centrage (74) agencé sur la plaque osseuse (12) pour immobiliser une position d'accouplement relative définie entre l'instrument (10; 150; 180) et la plaque osseuse (12) dans la position d'introduction.
  5. Instrument chirurgical selon la revendication 4, caractérisé en ce que l'organe de centrage (64, 66) comprend une tige de pression (64) immobilisable en direction longitudinale du tronçon de retenue (12) et déplaçable en direction de la plaque osseuse (12), et en ce que l'organe de centrage (64, 66) présente une extrémité libre (66) correspondant sensiblement à l'élément de centrage (74).
  6. Instrument chirurgical selon l'une des revendications 3 à 5, caractérisé en ce que l'organe de serrage (64) comprend l'organe de centrage (64, 66).
  7. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce que ledit au moins un élément d'accouplement (56 ; 184, 185) peut être relié par coopération de forces avec ledit au moins un élément de liaison (48; 186).
  8. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce que ledit au moins un élément d'accouplement (56 ; 184, 185) peut être relié par coopération de formes avec ledit au moins un élément de liaison (48; 186).
  9. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce que ladite au moins une saillie est formée par une arête d'enclenchement (58, 59) s'étendant transversalement à la direction d'introduction, et en ce que l'évidement est formé par une gorge (51, 52).
  10. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce que ladite au moins une saillie est formée par une goupille (184, 185) s'étendant sensiblement transversalement à la direction d'introduction, et en ce que l'évidement est formé par une percée (186) de la plaque osseuse (12).
  11. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce que le tronçon de retenue (14) adjacent à la plaque osseuse (12) dans la position d'introduction présente dans une région de transition une section transversale qui est au plus aussi grande que la plus grande section transversale de la plaque osseuse (12).
  12. Instrument chirurgical selon l'une des revendications précédentes, caractérisé en ce que le tronçon de retenue (14) comprend deux bras de retenue (154, 155) qui s'étendent en direction longitudinale du tronçon de retenue (14), et en ce que les bras de retenue (154, 155) présentent des extrémités libres.
  13. Instrument chirurgical selon la revendication 12, caractérisé en ce que ledit au moins un élément d'accouplement (56) est agencé sur une ou sur les deux extrémités libres des bras de retenue (154, 155).
  14. Instrument chirurgical selon l'une des revendications 12 ou 13, caractérisé en ce que les bras de retenue (154, 155) sont formés sensiblement élastiques à la flexion transversalement à leur axe longitudinal.
  15. Instrument chirurgical selon l'une des revendications 2 à 14, caractérisé en ce qu'il est prévu au moins un espaceur (16) et en ce que l'espaceur (16) est agencé en reliant le tronçon de viseur (18) et le tronçon de retenue (14).
EP02013878A 2001-07-02 2002-06-22 Instrument chirurgical Expired - Lifetime EP1273271B1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE20110948U DE20110948U1 (de) 2001-07-02 2001-07-02 Chirurgisches Instrument
DE10131993 2001-07-02
DE10131993A DE10131993A1 (de) 2001-07-02 2001-07-02 Chirurgisches Instrument

Publications (3)

Publication Number Publication Date
EP1273271A2 EP1273271A2 (fr) 2003-01-08
EP1273271A3 EP1273271A3 (fr) 2004-01-21
EP1273271B1 true EP1273271B1 (fr) 2007-08-15

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Family Applications (1)

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EP02013878A Expired - Lifetime EP1273271B1 (fr) 2001-07-02 2002-06-22 Instrument chirurgical

Country Status (4)

Country Link
EP (1) EP1273271B1 (fr)
AT (1) ATE369801T1 (fr)
DE (3) DE10131993A1 (fr)
ES (1) ES2289031T3 (fr)

Cited By (7)

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CN101822571A (zh) * 2010-03-31 2010-09-08 常熟市第五人民医院 一种股骨近端解剖型瞄准器
US7918853B2 (en) 2007-03-20 2011-04-05 Smith & Nephew, Inc. Orthopaedic plate and screw assembly
US8105326B2 (en) 2003-09-08 2012-01-31 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US8241286B2 (en) 2009-08-26 2012-08-14 Biomet, C.V. Method for implanting a hip fracture nail system
US8449544B2 (en) 2009-06-30 2013-05-28 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US8834469B2 (en) 2009-06-30 2014-09-16 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US10327829B2 (en) 2012-12-28 2019-06-25 Paragon 28, Inc. Alignment guide apparatus, methods and systems

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US7799030B2 (en) 2003-09-08 2010-09-21 Smith & Nephew, Inc. Orthopaedic plate and screw assembly
US7780667B2 (en) 2003-09-08 2010-08-24 Smith & Nephew, Inc. Orthopaedic plate and screw assembly
SE526560C2 (sv) * 2004-02-26 2005-10-11 Magnus Hoegstroem Anordning för fixering av benbrott i anslutning till en höft- eller knäled
EP1750604A1 (fr) 2004-04-12 2007-02-14 Thakkar Dr. Navin Ensemble implant pour fracture femorale proximale
DE102005061368B3 (de) * 2005-12-13 2007-07-12 Aesculap Ag & Co. Kg Implantierbares Verbindungselement sowie chirurgisches Fixationssystem
DE102006016213B4 (de) * 2006-04-03 2019-07-04 Aesculap Ag Chirurgische Verbindungsvorrichtung und chirurgische Vorrichtung
CA3118659A1 (fr) 2011-11-18 2013-05-23 DePuy Synthes Products, Inc. Implant pour fracture du col du femur
US9980760B2 (en) 2014-11-19 2018-05-29 Paragon 28, Inc. Step off bone plates, systems, and methods of use
CA2997369C (fr) 2015-09-02 2021-01-19 Wright Medical Technology, Inc. Outils et methodes d'osteotomie en chevron
EP3528716B1 (fr) 2016-10-24 2024-02-14 Paragon 28, Inc. Systèmes d'ostéotomie
WO2018157168A1 (fr) 2017-02-27 2018-08-30 Paragon 28, Inc. Guides d'alignement de clou intramédullaire, guides de fixation, dispositifs, systèmes et procédés d'utilisation
WO2018157170A1 (fr) 2017-02-27 2018-08-30 Paragon 28, Inc. Instruments de ciblage, systèmes et procédés d'utilisation
US10918431B2 (en) 2017-03-30 2021-02-16 Paragon 28, Inc. Bone fixation system, assembly, implants, devices, alignment guides, and methods of use
WO2019014356A1 (fr) 2017-07-11 2019-01-17 Paragon 28, Inc. Système de fixation osseuse, ensemble, implants, dispositifs, guides d'insertion et méthodes d'utilisation
CN108056808A (zh) * 2018-02-08 2018-05-22 重庆医科大学附属永川医院 一种长骨骨折微创手术接骨装置及其使用方法
CA3105779A1 (fr) 2018-07-11 2020-01-16 Paragon 28, Inc. Implants, guides d'alignement, systemes et procedes d'utilisation
JP2022519896A (ja) 2019-02-13 2022-03-25 パラゴン２８・インコーポレイテッド インプラント、調整ガイド、システム、及び使用方法

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US8105326B2 (en) 2003-09-08 2012-01-31 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US8187275B2 (en) 2003-09-08 2012-05-29 Smith & Nephew, Inc. Orthopaedic implant and fastening assembly
US8298234B2 (en) 2003-09-08 2012-10-30 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US8617161B2 (en) 2003-09-08 2013-12-31 Smith & Nephew, Inc. Orthopaedic plate and fastener assembly
US7918853B2 (en) 2007-03-20 2011-04-05 Smith & Nephew, Inc. Orthopaedic plate and screw assembly
US8449544B2 (en) 2009-06-30 2013-05-28 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US8834469B2 (en) 2009-06-30 2014-09-16 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
US8241286B2 (en) 2009-08-26 2012-08-14 Biomet, C.V. Method for implanting a hip fracture nail system
US8257354B2 (en) 2009-08-26 2012-09-04 Biomet, C.V. Hip fracture nail system
US8932301B2 (en) 2009-08-26 2015-01-13 Biomet C.V. Targeting jig for hip fracture nail system
CN101822571A (zh) * 2010-03-31 2010-09-08 常熟市第五人民医院 一种股骨近端解剖型瞄准器
US10327829B2 (en) 2012-12-28 2019-06-25 Paragon 28, Inc. Alignment guide apparatus, methods and systems

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DE20110948U1 (de) 2001-09-06
ES2289031T3 (es) 2008-02-01
DE10131993A1 (de) 2003-01-23
ATE369801T1 (de) 2007-09-15
DE50210679D1 (de) 2007-09-27
EP1273271A3 (fr) 2004-01-21
EP1273271A2 (fr) 2003-01-08

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